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Individual

DR. GARY WALLACE PLATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1429 COLLEGE AVE, SUITE L, MODESTO, CA 95350-4057
(209) 557-5995
(209) 557-5998
Mailing address
1429 COLLEGE AVE, SUITE L, MODESTO, CA 95350-4057
(209) 557-5995
(209) 557-5998

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G40785
CA

Other

Enumeration date
04/25/2006
Last updated
04/07/2011
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